The Book of Woe: The DSM and the Unmaking of Psychiatry (45 page)

9. “
trying to negotiate”:
Allen Frances e-mail, November 15, 2011.

10.
“Cast of fascinating and colorful characters”:
Ibid.

11.
“This will likely be the most important”:
Allen Frances e-mail, October 25, 2011.

12.
“Don’t waste your best brains”:
Ibid.

13.
“I was in Dubuque”:
Allen Frances e-mail, November 4, 2011.

14.
“your brilliant opening”:
Allen Frances e-mail, October 16, 2011.

15.
“Paula Caplan in drag”:
Allen Frances e-mail, January 5, 2012.

16.
“one-time pillar of the psychiatric establishment”:
Rob Waters, “Therapists Revolt Against Psychiatry’s Bible,” http://www.salon.com/2011/12/27/therapists_revolt_against_psychiatrys_bible/.

17.
“Fate has an ironic sense of humor”:
Allen Frances e-mail, July 14, 2011.

18.
“Everything I say”:
Allen Frances e-mail, October 16, 2011.

19. “
Where you see intelligent conspiracy”:
Allen Frances e-mail, September 18, 2011.

20.
“Dereification is just as dumb”:
Allen Frances e-mail, January 15, 2012.

21.
“I like to think the best of you”:
Allen Frances e-mail, January 5, 2012.

22.
“What’s the ending mean?”:
Allen Frances telephone interview, November 23, 2011.

23.
I received this message:
Eve Herold e-mail, November 7, 2011.

24.
“We realize how challenging it is”:
Lisa Countis e-mail, November 7, 2011.

25.
“This behavior pattern”:
DSM-I, 35.

26.
“The journey into the future”:
The newsletter is available at http://api.ning.com/files/AbciMXSvxet4NaqPJajU41T2kvOhgvc3JLSZdblrTDlfSyH4b2tKRiorseSDWZFCrifi7jgzHZyn7S5TvwzCpddFjQN—kLt/DSM5.fieldtrials.pdf.

27.
the treasurer delivered grim news:
http://www.ncpsychiatry.org/APA/APA%20Assembly%20ReportNov2011.pdf.

28.
running a blog called Dsm5watch:
It can now be found at dxrevisionwatch.com.

29.
“It has come to our attention”:
Cecilia Stoute e-mail to Suzy Chapman, December 22, 2011.

30.
“I thought it was a hoax”:
Suzy Chapman e-mail, June 11, 2012.

31.
“I could not finance a legal wrangle”:
Suzy Chapman e-mail, February 27, 2012.

Chapter 18

1.
“The idea of medicalizing normality”:
Elizabeth Lopatto, “Psychiatric Group Push to Redefine Mental Illness Sparks Revolt,”
Bloomberg Businessweek
, January 27, 2012.

2.
“I wasn’t exactly hiding it”:
Fred Volkmar e-mail, June 26, 2012.

3.
“It was one thing to make a change”:
Michael Carley e-mail, June 28, 2012.

4.
“damage control”:
http://grasp.org/profiles/blogs/very-important-dsm-5-update.

5.
“We have to make sure”:
Amy Harmon, “A Specialists’ Debate on Autism Has Many Worried Observers,”
The New York Times
, January 20, 2012.

6.
“There has never been an agenda”:
Debra Brauser, “Concern over Changes to Autism Criteria Unfounded,”
Medscape Medical News
, January 25, 2012.

7.
“10,000 plus e-mails”:
This exchange, not reported in the press, is available at http://grasp.org/profiles/blogs/dsm-5-update-a-poor-poor-descent-into-pettiness.

8.
a Carey-penned DSM piece:
Benedict Carey, “Grief Could Join List of Disorders,”
The New York Times
, January 24, 2012.

9.
a
World Psychiatry
article by Jerry Wakefield and Michael First:
Wakefield and First, “Validity of the Bereavement Exclusion to Major Depression: Does the Empirical Evidence Support the Proposal to Eliminate the Exclusion in DSM-5?”

10.
“set out realistic expectations”:
Kraemer et al., “DSM-5: How Reliable Is Reliable Enough?,” 13.

11.
a pair of op-ed columns:
Paul Steinberg, “Asperger’s History of Overdiagnosis,” and Benjamin Nugent, “I Had Asperger Syndrome, Briefly,”
The New York Times
, January 31, 2012.

12.
“The proposals in DSM-5”:
See “Psychologists Fear US Manual Will Widen Mental Illness Diagnosis,”
The Guardian
, February 9, 2012.

13. The Lancet
 . . .
in a single issue, a report:
See http://www.thelancet.com/journals/lancet/issue/vol379no9816/PIIS0140-6736%2812%29X6007-0.

14.
“I still feel sadness”:
Kleinman, “Culture, Bereavement, and Psychiatry,” 608.

15.
“even if,” as the Illinois version put it:
Public Act 097-0972 available at http://www.ilga.gov/legislation/publicacts/fulltext.asp?Name=097-0972.

16.
“the door is still very much open”:
John Gever, “DSM-5 Critics Pump Up the Volume,”
MedPage Today
, February 29, 2012.

17.
“You’ve got to feel sorry”:
Gary Greenberg, “Not Diseases, but Categories of Suffering,”
The New York Times
, January 29, 2012.

18.
“Wonderful news”:
“Wonderful News: DSM 5 Finally Begins Its Belated and Necessary Retreat,”
Psychology Today
(blog), May 2, 2012. http://www.psychologytoday.com/blog/dsm5-in-distress/201205/wonderful-news-dsm-5-finally-begins-its-belated-and-necessary-retreat.

19.
“stain on psychiatry”
 . . . “Cassandra”:
Allen Frances e-mail, April 29, 2012.

20.
“We encourage the wide dissemination”:
Roger Peele provided the memo via e-mail, April 29, 2012.

21.
“What possible copyright excuse”:
Allen Frances e-mail, April 23, 2012.

22.
“It is just too nutty” 
. . . “I used to compare”:
Allen Frances e-mail, April 30, 2012.

Chapter 19

1.
a DSM-5-related 60 percent increase:
Mewton et al., “An Evaluation of the Proposed DSM-5 Alcohol Use Disorder Criteria Using Australian National Data,” 947.

2.
“I wanted to avoid a repeat of Axis V”:
Roger Peele interview, August 2, 2012.

3.
“Conceptual questions are not minor ‘side issues’”:
Kendler et al., “Issues for DSM-V,” 175.

4.
“Yes,” he said, “but I do like a challenge”:
Michael First e-mail, May 12, 2012.

5. “
I felt if I just addressed”:
Swedo, “Making National Headlines,” American Psychiatric Association annual meeting, May 6, 2012.

6. “
Newsflash from APA Meeting”:
See http://www.huffingtonpost.com/allen-frances/dsm-5-reliability-tests_b_1490857.html.

7.
“The controversy stirred by my critique”:
Allen Frances e-mail, June 29, 2012.

Chapter 20

1.
“Melancholia,” they wrote:
Parker et al., “Issues for DSM-5: Whither Melancholia?,” 745.

2.
“distinct, identifiable, and specifically treatable”:
Ibid., 747.

3.
“I believe the inclusion of a biological measure”:
William Coryell e-mail to Max Fink, October 16, 2008.

4.
“I [am] flabbergasted”:
Max Fink e-mail to William Coryell, April 9, 2010.

5.
“I believe you and your colleagues”:
William Coryell e-mail to Max Fink, April 12, 2010.

6.
“The APA owns all products”:
http://www.dsm5.org/Pages/PermissionsPolicy.aspx.

7.
“arrogance, secretiveness”
 . . .
“is no longer capable
”
:
Allen Frances, “Diagnosing the DSM,”
The New York Times
, May 11, 2012.

8.
“Our resources are more likely”:
Thomas Insel e-mail, October 13, 2010.

9.
What Insel heard “over and over again”:
Thomas Insel and Bruce Cuthbert interview, December 12, 2011.

10.
“So many of our disorders”:
Ibid.

11.
“We call this attention deficit/hyperactivity disorder”:
Thomas Insel, “Rethinking Mental Illness,” American Psychiatric Association annual meeting, May 14, 2011.

12.
“Why do you hate psychiatrists”:
Allen Frances e-mail, October 20, 2012.

13.
“DSM-IV-TR attempts to describe”:
Sadock and Sadock,
Kaplan & Sadock’s Concise Textbook of Clinical Psychiatry
, 33.

14.
“difficulty of distinguishing a manic episode”:
Ibid., 218.

15.
“depressive symptoms are present”:
Ibid.

16.
“every sign or symptom seen in schizophrenia”:
Ibid., 167.

17.
“Once a diagnosis has been established”:
Ibid., 222.

18.
“no one drug is predictably effective”:
Ibid., 224.

19.
“Often,” advise Sadock and Sadock, “it is necessary”:
Ibid.

20.
“the objective of pharmacologic treatment”:
Ibid.

21.
“Not everyone needs to see”:
Allen Frances e-mail, October 20, 2012.

22.
“Whatever we’ve been doing for five decades”:
Thomas Insel and Bruce Cuthbert interview, December 12, 2011.

23.
Seventy-two percent:
Mojtabai and Olfson, “Proportion of Antidepressants Prescribed Without a Psychiatric Diagnosis Is Growing,” 1436.

24.
“abnormal sensations” and “nonspecific pain”:
Ibid., 1437.

25. “
The future belongs to illness”:
Sedgwick, “Illness—Mental and Otherwise,” 37.

Afterword

1.
an occasion to release some details:
“American Psychiatric Association Board of Trustees Approves
DSM-5,” news release, December 1, 2012.

2.
“We do ask that you focus”:
This e-mail was provided to me by Roger Peele.

3.
one article—in
The Washington Post
:
Peter Whoriskey, “Antidepressants to Treat Grief? Psychiatry Panelists with Ties to Drug Industry Say Yes,”
The Washington Post
, December 26, 2012.

4.
“DSM-5 includes material”:
Statement of David Kupfer, http://www.psychnews.org/files/Response_to_Wash_Post.pdf.

5.
Dilip Jeste, the APA president, told Congress:
Letter from Dilip Jeste to Harry Reid, John Boehner, Mitchell McConnell, and Nancy Pelosi, http://www.psychiatry.org/advocacy—newsroom/advocacy/apa-sends-letter-to-congress-regarding-recent-shooting-in-newtownct.

6.
Not only was LaPierre’s language “offensive”:
“American Psychiatric Association Responds to NRA Comments,” news release, December 23, 2012, http://www.psychiatry.org/File%20Library/Advocacy%20and%20Newsroom/Press%20Releases/2012%20Releases/12-45-APA-Response-to-NRA-Comments.pdf.

7.
“The saddest day”:
Allen Frances, “DSM 5 Is Guide Not Bible—Ignore Its Ten Worst Changes,”
DSM-5 in Distress
(blog), http://www.psychologytoday.com/blog/dsm5-in-distress/201212/dsm-5-is-guide-not-bible-ignore-its-ten-worst-changes.

8.
“one last act”:
Allen Frances, “One Last Chance for the APA to Make the DSM-5 Safer,”
The Huffington Post
(blog), http://www.huffingtonpost.com/allen-frances/one-last-chance-for-the-apa-to-make-the-dsm-5-safer_b_2294868.html.

9.
“Any new boycott must unify the diverse opposition”:
Allen Frances, “DSM 5 Boycotts and Petitions: Too Many, Too Sectarian,”
Saving Normal: Mental Health and What Is Normal
(blog), February 8, 2013, http://www.psychologytoday.com/blog/saving-normal/201302/dsm-5-boycotts-and-petitions.

10.
“I can confirm”:
Michael First e-mail, November 27, 2012.

11.
“The good news”:
Michael First e-mail January 7, 2013.

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